Download Screening for Depression in Clinical Practice: An by Alex J. Mitchell MRCPsych, James C. Coyne PhD PDF

By Alex J. Mitchell MRCPsych, James C. Coyne PhD

Temper problems are a world healthiness factor. nationwide assistance for his or her detection and administration were released within the US and in Europe. regardless of this, the speed at which melancholy is famous and controlled in fundamental and secondary care settings continues to be low and means that many clinicians are nonetheless uncertain the right way to monitor humans for temper problems. opposed to the backdrop of this challenge, the editors of this quantity have designed a booklet with a dynamic two-fold goal: to supply an evidence-based evaluation of screening tools for temper issues, and to synthesize the proof right into a useful consultant for clinicians in various settings--from cardiologists and oncologists, to basic care physicians and neurologists, between others. the quantity considers all vital facets of melancholy screening, from the evaluate of particular scales, to issues of technological methods to screening, and to the exam of screening with neurological problems, prenatal care, cardiovascular stipulations, and diabetes and melanoma care, between others. This e-book is bound to trap the eye of any clinician with a stake in melancholy screening.

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Additional resources for Screening for Depression in Clinical Practice: An Evidence-Based Guide

Example text

13 symptoms and require exclusion of previous major depression in an attempt to avoid confusion over residual symptomatology. Dysthymia is characterized by fewer symptoms than major depression (three or four) and a chronic course lasting at least 2 years. In ICD-10 the core symptoms of depression include decreased energy or increased fatigability in addition to low mood and loss of interest. Further, only four symptoms are required for a mild episode, and six (five in early versions) symptoms qualify as moderate depressive episode.

Diagnosing depression in the medically ill: validity of a lay-administered structured diagnostic interview. J Psychiatric Res. 1998;32(6):353–360. 77. Sheehan DV, Lecrubier Y, Sheehan KH, et al. ): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl 20):22–57. 78. Kendell RE. Clinical validity. Psychol Med. 1989;19:45–55. 79. Zimmerman M, Mattia JI. Psychiatric diagnosis in clinical practice: is comorbidity being missed?

The majority (59%) of patients met the SCID criteria for a primary depressive disorder. 33 for mood disorder). Overall, use of the SCID resulted in more diagnoses than the standard clinical procedures, particularly where comorbidity was present. Anxiety disorders, in particular, were much more likely to be overlooked by a clinical rater. One exception was ‘‘adjustment disorder,’’ which was more frequently diagnosed by a clinician than by the SCID rater. In an important but small-scale study, Miller and colleagues (2001)53 compared three methods of diagnosis for 56 psychiatric inpatients against the LEAD criterion standard.

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